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  • Title: Psychological distress as a predictor of ventricular arrhythmias in a post-myocardial infarction population.
    Author: Follick MJ, Gorkin L, Capone RJ, Smith TW, Ahern DK, Stablein D, Niaura R, Visco J.
    Journal: Am Heart J; 1988 Jul; 116(1 Pt 1):32-6. PubMed ID: 3394630.
    Abstract:
    A prospective study examining the relationship between psychological distress and ventricular ectopy was conducted with 125 post-myocardial infarction patients equipped with a transtelephonic ECG monitor. Subjects were subsequently grouped according to the occurrence (n = 59) or nonoccurrence (n = 65) of ventricular arrhythmias over a 1-year period. Results indicated a direct relationship between self-reported distress levels and occurrence of ectopic beats. This relationship was unaltered by adjusting simultaneously for known predictors of arrhythmias, including cardiac risk, age, and the prescription of beta-blocker agents. Thus this study represents an initial demonstration in a post-myocardial infarction population that psychosocial factors have prognostic significance for arrhythmias and, presumably, sudden death.
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